Provider Demographics
NPI:1568557528
Name:LEVY, EDWARD E III (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:E
Last Name:LEVY
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7037 CANAL BLVD
Mailing Address - Street 2:SUITE 206-207
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-3453
Mailing Address - Country:US
Mailing Address - Phone:504-283-5549
Mailing Address - Fax:504-288-9592
Practice Address - Street 1:7037 CANAL BLVD
Practice Address - Street 2:SUITE 206-207
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-3453
Practice Address - Country:US
Practice Address - Phone:504-283-5549
Practice Address - Fax:504-288-9592
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3168122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist